Ornate Healthcare Trafford

Ornate Healthcare Trafford is a domiciliary care agency. It provides personal care to people living in their own homes. At the time of our inspection, the service was providing support to 76 people, all of whom received support with the regulated activity ‘personal care’. This is help with tasks related to personal hygiene and eating. We also considered any wider social care provided.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not provide care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

People’s experience of using this service and what we found

The registered manager did not have the support to manage a domiciliary care agency providing care and support for over 70 people. There were plans to increase the management role of a team leader, but no confirmed timescale for this to take place. A quality assurance system was in place, but this hadn’t identified the shortfalls found during this inspection.

People received their medicines as prescribed. We have made a recommendation for staff medicines competencies to be regularly assessed and ‘as required’ medicines guidance to include more detail. Care and support plans identified peoples support needs and provided guidance for meeting these needs and managing identified risks. We have made a recommendation to review care plans to ensure all people’s needs are identified. People and their relatives had been involved in agreeing and reviewing the care and support plans.

Four out of 9 people or their relative said the less experienced care workers did not communicate as well as the more experienced colleagues. Staff received the training for their role and felt supported by the registered manager. However, spot checks and supervision meetings had not been completed as planned. Staff were safely recruited.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were supported to maintain their health and nutritional needs where applicable. People were supported to take part in local community activities where this was part of the agreed support.

People and relatives said communication with the service was good. Any incidents or complaints were investigated and resolved.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 25 May 2022, and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement and Recommendations

We have identified a breach in relation to the governance and oversight of the service. We have made two recommendations about medicines management and capturing all people's needs in the care plans.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.